Yarifard Khadijeh, Abdi Zhaleh, Jaafaripooyan Ebrahim
Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2025 Mar;54(3):554-566. doi: 10.18502/ijph.v54i3.18248.
Access to health care, or ultimately health care utilization, by all groups of population is a critical goal of health systems around the world. Several studies have examined factors affecting preventive health services utilization among middle-aged population none of systematic review exist. Therefore, we aimed to explore the factors affecting the preventive health services utilization by middle-aged population.
Drawing on PRISMA protocol, this scoping review explored articles in PubMed, Scopus, Web of Science, and Cochran by using combinations of relevant keywords. All studies that have investigated factors affecting health service utilization among middle-aged population (40-60 yrs. old), published from 1990 to 2024, were included. The identified studies were screened and narratively synthesized.
Overall, 3314 articles were retrieved, of which 16 met the inclusion criteria. The factors were categorized into three main groups including personal, institutional and social factors. Such factors as the aboriginal status, ethnicity, age, religious salience, employment status, having chronic disease, disabilities, numeracy skill levels, knowledge regarding the services, housing insecurity, and urbanization of the residence areas affected the preventive health services utilization by middle-aged population.
Various factors appeared to affect the utilization of middle-aged groups from preventive services, which need to be addressed vigorously in an effort towards universal health coverage. Policymakers ought to understand and bring to the fore these correlated factors in their health system as these signify the place on which the potentially effective interventions should focus and target.
全体人群获得医疗保健服务，或最终实现医疗保健服务的利用，是世界各地卫生系统的一项关键目标。多项研究探讨了影响中年人群预防性卫生服务利用的因素，但尚无系统评价。因此，我们旨在探讨影响中年人群预防性卫生服务利用的因素。
依据PRISMA方案，本范围综述通过使用相关关键词组合，在PubMed、Scopus、科学网和Cochrane中检索文章。纳入所有调查1990年至2024年期间影响中年人群（40 - 60岁）卫生服务利用因素的研究。对纳入的研究进行筛选并进行叙述性综合分析。
共检索到3314篇文章，其中16篇符合纳入标准。这些因素分为三大类，包括个人因素、机构因素和社会因素。诸如原住民身份、种族、年龄、宗教显著性、就业状况、患有慢性病、残疾、算术技能水平、对服务的了解程度、住房不安全以及居住地区的城市化等因素，都会影响中年人群对预防性卫生服务的利用。
多种因素似乎影响中年人群对预防性服务的利用，为实现全民健康覆盖，需要大力解决这些问题。政策制定者应了解并突出卫生系统中的这些相关因素，因为这些因素表明了潜在有效干预措施应关注和针对的重点。
